Evidence map›Paper›PMID 29221445›Full record

Trial reportBMC cancer2017

Study protocol of HGCSG1404 SNOW study: a phase I/II trial of combined chemotherapy of S-1, nab-paclitaxel and oxaliplatin administered biweekly to patients with advanced gastric cancer.

Yasuyuki Kawamoto, Yoshito Komatsu, Satoshi Yuki, Kentaro Sawada, Tetsuhito Muranaka, Kazuaki Harada, Hiroshi Nakatsumi, Hiraku Fukushima, Atsushi Ishiguro, Masayoshi Dazai and 10 more

Open access · goldAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in BMC cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 9 institutions in 1 country.

Yasuyuki KawamotoDepartment of Cancer Center, Hokkaido University Hospital, Sapporo, Japan.
Yoshito KomatsuDepartment of Cancer Center, Hokkaido University Hospital, Sapporo, Japan. ykomatsu@ac.cyberhome.ne.jp.
Satoshi YukiDepartment of Gastroenterology and Hepatology, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Kentaro SawadaDepartment of Gastroenterology and Hepatology, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Tetsuhito MuranakaDepartment of Cancer Center, Hokkaido University Hospital, Sapporo, Japan.
Kazuaki HaradaDepartment of Cancer Center, Hokkaido University Hospital, Sapporo, Japan.
Hiroshi NakatsumiDepartment of Cancer Center, Hokkaido University Hospital, Sapporo, Japan.
Hiraku FukushimaDepartment of Gastroenterology, JCHO, Sapporo Hokushin Hospital, Sapporo, Japan.
Atsushi IshiguroDepartment of Medical Oncology, Teine Keijinkai Hospital, Sapporo, Japan.
Masayoshi DazaiDepartment of Gastroenterology, Sapporo Medical Center NTT EC, Sapporo, Japan.
Kazuteru HatanakaDepartment of Gastroenterology, Hakodate Municipal Hospital, Hakodate, Japan.
Michio NakamuraDepartment of Gastroenterology, Sapporo City General Hospital, Sapporo, Japan.
Ichiro IwanagaDepartment of Gastroenterology, Japanese Red Cross Kitami Hospital, Kitami, Japan.
Minoru UebayashiDepartment of Gastroenterology, Japanese Red Cross Kitami Hospital, Kitami, Japan.
Susumu SogabeDepartment of Internal Medicine, Kushiro Rosai Hospital, Kushiro, Japan.
Yoshimitsu KobayashiDepartment of Internal Medicine, Kushiro Rosai Hospital, Kushiro, Japan.
Takuto MiyagishimaDepartment of Internal Medicine, Kushiro Rosai Hospital, Kushiro, Japan.
Kota OnoHokkaido University Hospital Clinical Research and Medical Innovation Center, Sapporo, Japan.
Naoya SakamotoDepartment of Gastroenterology and Hepatology, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Yuh SakataCEO, Misawa City Hospital, Misawa, Japan.
Hokkaido University · JPHokkaido University Hospital · JPKushiro Rosai Hospital · JPHakodate National Hospital · JPHokushin General Hospital · JPMisawa City Hospital · JPNTT Medical Center · JPSapporo City General Hospital · JPTeine Keijinkai Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Japan, S-1 plus cisplatin (SP) regimen has become a standard therapy for patients with advanced gastric cancer. Moreover, the S-1 plus oxaliplatin regimen is now a standard treatment. Nab-paclitaxel was developed for chemotherapy of gastric cancer in Japanese clinical practice. Nab-paclitaxel, created with albumin-bound paclitaxel particles, has high transferability to tumour tissues and does not cause hypersensitivity reactions because of a different chemical composition compared with docetaxel and paclitaxel. A combination of S-1, nab-paclitaxel and oxaliplatin (which we named 'SNOW regimen') can be a promising triplet therapy for advanced gastric cancer. Although we have to pay attention to chemotherapy-induced neuropathy, we aim to investigate the recommended dose of this regimen in a phase I study. Furthermore, we will investigate its efficacy and toxicity in a phase II study.

methodsThe phase I study is a dose-escalation study using a standard 3 plus 3 design, followed by expansion cohorts. The SNOW regimen involves 28-day cycles with escalated doses of nab-paclitaxel (100-175 mg/m DISCUSSION: Triplet therapies for advanced gastric cancer patients have been evaluated in clinical trials. The SNOW regimen can be a promising new triplet therapy.

trial registrationThis study is performed at institutes that participate in Hokkaido Gastrointestinal Cancer Study Group (HGCSG) and registered as UMIN000016788 . Registrated 16 March 2015.

Indexed as

AlbuminsAntineoplastic Combined Chemotherapy ProtocolsOrganoplatinum CompoundsOxonic AcidPaclitaxelStomach NeoplasmsTegafurAdultDrug CombinationsHumansOxaliplatinResearch DesignYoung Adult130-nm albumin-bound paclitaxelAlbuminsDrug CombinationsOrganoplatinum CompoundsOxaliplatinOxonic AcidPaclitaxelS 1 (combination)TegafurChemotherapyGastric cancerNab-paclitaxelOxaliplatinS-1

Identifiers

PMID29221445
PMCPMC5723079
OpenAlexW2775278354

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.